Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Dittbrenner

Individual provider Licensed Practical Nurse · NPI 1942623558

Shannon Dittbrenner is a Licensed Practical Nurse in Pine Bush, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

601 Lakewood Rd
Pine Bush, NY 12566-7208
Phone: (845) 283-3177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 632705 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 282262 (NY)

Record details

NPI number1942623558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2014
Last updated in NPPESFebruary 3, 2014

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